Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.94 / $47.49 / $92.17	Facility		$23.94	$47.49	$92.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.61 / $23.94 / $28.42	Professional		$16.61	$23.94	$28.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.96 / $14.96 / $14.96	Professional		$14.96	$14.96	$14.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.62 / $16.96 / $27.29	Facility		$13.62	$16.96	$27.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.97 / $11.97 / $32.31	Professional		$11.97	$11.97	$32.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.63 / $29.92 / $40.39	Facility		$11.63	$29.92	$40.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.43 / $38.90 / $40.39	Professional		$25.43	$38.90	$40.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.45 / $30.81 / $83.69	Facility		$19.45	$30.81	$83.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.99 / $23.70 / $59.17	Professional		$20.99	$23.70	$59.17
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $19.45 / $30.81 / $116.07	Facility		$19.45	$30.81	$116.07
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $20.99 / $25.45 / $45.48	Professional		$20.99	$25.45	$45.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.22 / $21.80 / $35.90	Professional		$9.22	$21.80	$35.90
United Facility/Professional Professional Modifier Low / Median / High Price $11.97 / $17.95 / $35.90	Professional		$11.97	$17.95	$35.90